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Background: Cutaneous infections caused by non-tuberculous mycobacteria (NTM) are extremely rare, particularly when they are localized to the facial area. This condition presents significant diagnostic challenges due to its unusual presentation and the need for precise microbiological identification. Case Presentation: A two-year-old male patient presented with a progressively enlarging reddish-brown mass on the left side of his face. Despite the absence of systemic symptoms, the lesion's growth warranted investigation due to its growth. Ultrasonography showed a hypoechoic mass in the dermis, indicating an underlying abscess. The subsequent aspiration resulted in pale yellow pus, which upon testing and culture, confirmed the presence of Mycobacterium avium complex infection, a species of NTM. This case exemplifies the synergy between imaging modalities and microbiological analysis, highlighting the crucial role of both in achieving favorable clinical outcomes in patients with suspected cutaneous NTM infections. Ultrasound can expedite diagnosis, improve treatment planning, and enhance patient care by enabling targeted interventions and monitoring response to therapy in these scenarios. However, it is the combination of pathogen-specific diagnostics that ensures accurate etiological attribution and appropriate antimicrobial stewardship. Conclusion: Although rare, facial cutaneous infections caused by NTM still deserve thorough investigation to determine the exact cause. Ultrasound is used to identify cutaneous lesions, measure their extent, and guide surgical procedures. The ultimate diagnosis is based on microbiological confirmation. [ABSTRACT FROM AUTHOR]

Background: Cutaneous infections caused by non-tuberculous mycobacteria (NTM) are extremely rare, particularly when they are localized to the facial area. This condition presents significant diagnostic challenges due to its unusual presentation and the need for precise microbiological identification. Case Presentation: A two-year-old male patient presented with a progressively enlarging reddish-brown mass on the left side of his face. Despite the absence of systemic symptoms, the lesion’s growth warranted investigation due to its growth. Ultrasonography showed a hypoechoic mass in the dermis, indicating an underlying abscess. The subsequent aspiration resulted in pale yellow pus, which upon testing and culture, confirmed the presence of Mycobacterium avium complex infection, a species of NTM. This case exemplifies the synergy between imaging modalities and microbiological analysis, highlighting the crucial role of both in achieving favorable clinical outcomes in patients with suspected cutaneous NTM infections. Ultrasound can expedite diagnosis, improve treatment planning, and enhance patient care by enabling targeted interventions and monitoring response to therapy in these scenarios. However, it is the combination of pathogen-specific diagnostics that ensures accurate etiological attribution and appropriate antimicrobial stewardship. Conclusion: Although rare, facial cutaneous infections caused by NTM still deserve thorough investigation to determine the exact cause. Ultrasound is used to identify cutaneous lesions, measure their extent, and guide surgical procedures. The ultimate diagnosis is based on microbiological confirmation. [ABSTRACT FROM AUTHOR]

Background: Microbotulinum toxin A treatment is a technique of delivering multiple intradermal injections of diluted botulinum toxin type A into the dermis or the interface between the dermis and the superficial layer of the facial muscles to preserve the facial mobility. The current study aimed to evaluate and compare the clinical effect of different dilutions of microbotulinum toxin A in periorbital and mid-facial rejuvenation. Methods: This randomized prospective interventional study included 30 female patients with different types of wrinkles in periorbital and/or mid-face. Patients were divided into three groups: group I (10 patients): 100U botulinum toxin in 5 ml saline, group II (10 patients): 100U botulinum toxin in 7 ml saline and group III (10 patients): 100U botulinum toxin in 10 ml saline. Results: A statistically significant better global esthetic improvement scale (GAIS) scores after 1 month were observed in group I compared to groups II and III. Also, after 6 months better GAIS scores were observed in group I compared to group II and in group II compared to group III. Assessment of different esthetic parameters measured by the Antera 3D camera revealed a statistically significant improvement in all parameters (periorbital and mid-face) in group I and in most of parameters (periorbital and mid-face) in groups II and III with more evident improvement after 1 month compared to after 6 months. Conclusion: Intradermal microbotulinum toxin A is a cost-effective method for improving periorbital and mid-face wrinkles with a better effect of 1:5 than 1:7 and 1:10 dilutions. Facial wrinkles possess a great burden on patients' psychological status, and the emergence of novel rejuvenation technique with minimal side effects is necessary. MicroBoNT-A usage in the literature was through variety of dilutions and concentrations. Therefore, a conclusive and comparative study was essential to compare the effect of different microBoNT-A dilutions. In this context, the current study aimed to evaluate and compare the clinical effect of different dilutions of microBoNT-A in periorbital and mid-facial rejuvenation. Level of Evidence III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. [ABSTRACT FROM AUTHOR]

Background: Idiopathic (IF) and nonidiopathic facial (NIF) nerve palsies are the most common forms of peripheral facial nerve palsies. Various risk factors for IF palsies, such as weather, have been explored, but such associations are sparse for NIF palsies, and it remains unclear whether certain diagnostic procedures, such as contrast agent-enhanced cerebral magnetic resonance imaging (cMRI), are helpful in the differential diagnosis of NIF vs. IF. Methods: In this retrospective, monocentric study over a five-year period, the medical reports of 343 patients with peripheral facial nerve palsy were analysed based on aetiology, sociodemographic factors, cardiovascular risk factors, consultation time, diagnostic procedures such as cMRI, and laboratory results. We also investigated whether weather conditions and German Google Trends data were associated with the occurrence of NIF. To assess the importance of doctors' clinical opinions, the documented anamneses and clinical examination reports were presented and rated in a blinded fashion by five neurology residents to assess the likelihood of NIF. Results: A total of 254 patients (74%) had IF, and 89 patients (26%) had NIF. The most common aetiology among the NIF patients was the varicella zoster virus (VZV, 45%). Among the factors analysed, efflorescence (odds ratio (OR) 17.3) and rater agreement (OR 5.3) had the highest associations with NIF. The day of consultation (Friday, OR 3.6) and the cMRI findings of contrast enhancement of the facial nerve (OR 2.3) were also risk factors associated with NIF. In contrast, the local weather, Google Trends data, and cardiovascular risk factors were not associated with NIF. Conclusion: The findings of this retrospective study highlight the importance of patient history and careful inspections to identify skin lesions for the differential diagnosis of acute facial nerve palsy. Special caution is advised for hospital physicians during the tick season, as a surge in NIF cases can lead to a concomitant increase in IF cases, making it challenging to choose adequate diagnostic methods. [ABSTRACT FROM AUTHOR]

MicroIC enables display attributes unattainable from polycrystalline thin‐film transistors, and the complimentary metal‐oxide semiconductor (CMOS) microICs support a wide range of applications beyond driving pixels. Integrating sensors within displays can add value to products, reduce costs and improve performance versus conventional solutions. As evidenced by touch and display integration in mobile displays via TDDI ICs, in‐cell sensing can reduce cost and improve performance to levels that are not available with all display types. Capacitive touch, optical touch, 3D scanning, and proximity sensing can also benefit from the inherent coordination between sensors and display. We present multiple sensing architectures and demonstrations of integration within microLED displays and describe CMOS microIC circuits for touch sensing applications. With diverse heterogenous semiconductor technology tightly woven into displays, the potential for intuitive gesture controls, adaptive interfaces, and enhanced sensory feedback paves the way for more natural and effortless interactions between humans and machines. [ABSTRACT FROM AUTHOR]

Background: Hyaluronic acid (HA) dermal fillers are widely used in aesthetic medicine. While generally safe, potential complications can arise. Objective: This systematic review aims to identify and classify potential complications linked to the use of HA dermal fillers, as informed by high-quality, low-risk-of-bias studies. Methods: This review follows the Cochrane review standards for clinical systematic reviews. This systematic review analyzed 48 high level of evidence studies on the use of hyaluronic acid (HA) dermal fillers in non-surgical facial aesthetics and the adverse events that occurred.The inclusion criteria were randomized control studies on HA dermal fillers and their complications. Excluded were case reports, case series, observational studies, and other non-randomized research due to their inability to provide generalized conclusions and their inherent publication bias. Results: Adverse events were classified into three categories: expected reactions, product or technique-related adverse events, and severe adverse events. Most adverse events were short-lived injection site reactions, which resolved spontaneously. Specific HA fillers and injection techniques influenced the occurrence of adverse events, which generally resolved within weeks without treatment. Severe adverse events were rare, persisting for months and requiring active medical intervention. Discussion: This classification system can enhance understanding, prevention, and treatment of HA filler complications, and support patient education. The common complications were injection site reactions, with persistent symptoms treated with topical steroids, NSAIDs, or hyaluronidase. Severe complications included severe edema, angioedema and others, often necessitating specific treatments. Conclusion: HA dermal fillers are generally safe and effective, with most adverse events being transient and mild to moderate in severity. Severe adverse events, although rare, do occur and are generally non-treatment related. Informed consent, patient education, and professional training are crucial for safe and successful outcomes. Level of Evidence II This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. [ABSTRACT FROM AUTHOR]

Introduction: Performing laser hair removal treatments on dark skin is limited by the quantity of melanin within the skin. To minimize side effects, lower values of fluence are selected when using standard 755 or 810 nm diode lasers. However, this approach may limit the effectiveness of the procedure, particularly when treating areas with thin and less pigmented hair, which is often the case in facial regions. To improve results, high‐power triple wavelength diode lasers can be used. This study aims to assess the efficacy, safety, and comfort of treatments that remove facial hair with a high‐power triple wavelength diode laser (810, 940, and 1060 nm) in static mode on Asian patients with thin and less pigmented hair. Materials and Methods: A single‐center retrospective cohort study was carried out using a high‐power triple wavelength diode laser (810, 940, and 1060 nm), with a 2.7 cm2 spot size, on faces with thin and less pigmented hair. The study comprised 23 subjects with Fitzpatrick skin types IV and V. Effectiveness was measured by counting the hairs that appeared in high‐resolution photos taken prior to and following the procedure, in addition to the Global Aesthetic Improvement Scale (GAIS). Furthermore, mathematical 3D simulations were created on the COMSOL Multiphysics® software to allow for comparisons to be made with regard to thermal damage sustained by the hair follicles and epidermal heating. Assessments were also made in relation to side effects. Results: An average of 66% hair reduction was observed. Patient satisfaction was between 4 and 5 points on the GAIS scale, indicating that the treatment was very well received and tolerated. Adverse side effects were not observed. Conclusion: It can be concluded that the use of a high‐power triple wavelength diode laser (810, 940, and 1060 nm) is safe and effective for the treatment of very fine and less pigmented facial hair on Asian skin. Furthermore, a triple wavelength (810, 940, and 1060 nm) laser is absorbed less by the melanin in the skin, enabling the use of higher fluences in stamping mode, with greater efficacy and safety for darker skin. [ABSTRACT FROM AUTHOR]

Simple Summary: This study aims to characterize soft tissue tumors/sarcomas (STSs) occurring on the faces of cats using histomorphology, immunohistochemistry, and molecular (PCR) techniques. By examining 34 tumors from 29 cats, we found that many were peripheral nerve sheath tumors (PNSTs), identified by specific protein markers. Interestingly, only a few tumors thought to be sarcoids were confirmed by testing for BPV14. This highlights the need for careful diagnostic methods to correctly identify these tumors. Some tumors appeared as unusual lesions on the face, not typical masses, pointing out an important clue for clinicians. The study also introduces a new observation in tumor cells' pattern and underscores the value of the Sox10 marker in diagnosing PNSTs in cats, offering new insights for veterinary pathologists. Soft tissue tumors/sarcomas (STSs) in felines, encompassing a variety of mesenchymal tumors with similar histomorphological features, present diagnostic challenges due to their diverse cellular origins and the overlap with other tumor types such as feline sarcoid. This study aimed to delineate the clinical, histomorphological, and immunohistochemical characteristics of 34 feline facial spindle cell tumors affecting 29 cats, including testing for bovine papillomavirus type 14 (BPV14), the virus causing feline sarcoids. Only five out of 12 tumors previously diagnosed as feline sarcoids based on histomorphology were confirmed by PCR for BPV14, underscoring the importance of comprehensive diagnostic approaches to accurately distinguish between STSs and feline sarcoids. This study shows that most facial spindle cell tumors were compatible with peripheral nerve sheath tumors (PNSTs) based on positive immunohistochemical staining for Sox10 and other immunohistochemical markers such as GFAP, NSE, and S100. Some of these tumors displayed as multiple independent masses on the face or as erosive and ulcerative lesions without obvious mass formation, an atypical presentation and an important highlight for general practitioners, dermatologists, and oncologists. This study also describes periadnexal whorling of neoplastic cells as a novel histomorphologic finding in feline facial PNSTs and emphasizes Sox10 as a useful complementary immunohistochemical marker for the diagnosis of facial PNST in cats, providing valuable insights for veterinary pathologists. [ABSTRACT FROM AUTHOR]

Facial privacy is essential in our time due to the violations that occur due to the proliferation of social media and people's primary dependence on it. Facial features can be exploited to identify, track, or other matters without obtaining prior consent. This is increasingly important due to the increasing use of facial recognition technologies. Protecting the face and privacy is a challenging task, as the entire world is very widely connected through social networking sites in an uncensored manner, especially in countries with no electronic governance or oversight. Therefore, there is an urgent need to provide systems or research that focuses on the issue of facial privacy. In this paper, a system for providing privacy for people was proposed using the WIDER FACE data set, considered the most important among the data sets. The system aims to provide privacy for people by determining the destination that must be preserved and provided with privacy through three technical. The approach goes through several steps: The processing process of the image is achieved by enhancement of the images that are input in the training stage and then dividing the data into a test and training set, and the training stage through the YOLOv6 algorithm (looks only once), and privacy operations including encryption, decryption, mask and blurring in the test part of the data, and conducting an external test for personal photo. The final results of the proposed system were as follows: accuracy = 0.98 in training and 0.96 in testing. [ABSTRACT FROM AUTHOR]

Smart, intelligent and automated environments solves real-world issues by modeling artificial intelligence based applications. AI such as functional, analytical, textual and visual AI are applied to enhance capabilities and intelligence of an application. Information security is significant in the field of information technology. AI-powered biometric solutions have initiated to flourish in securing individual's identification to combat unauthorized access. Security deals with authentication; biometric user authentication systems should adopt reliable schemes to determine or confirm individual's identity who seek services. Such schemes should render service to only legitimate users to access secured environments. Face Detection and Recognition is emerging as ideal solution to facilitate secure verification and authentication in secured systems. In this paper, Siamese Neural Network method which employ unique structure is adopted to naturally rank input similarities of Biometric traits. The network is tuned to benefit from dominant discriminative features for generalizing predictions in authority of all new classes from unfamiliar distributions. Proposed approach for face recognition is compared with few current state-of-the-art approaches. The approach achieved an accuracy of 96.5%. Novelty of the research lies in combining Siamese network and Biometric authentication. [ABSTRACT FROM AUTHOR]

Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare primary cutaneous lymphoma which often be very complexed to be diagnosed. Here we reported a case of a 38-year-old lady with wax and wane course of left facial swelling associated with prolonged pyrexia of unknown origin, lethargy and prominent weight loss. Multiple investigations were conducted to reach to the conclusive diagnosis. Histopathological showed infiltration of neoplastic lymphoid cells within the adipocyte clusters with hyperchromatic nuclei, small nucleoli and scant cytoplasm. Immunohistochemical analysis were immunoreactive to CD3, CD8 & TIA and negative to CD20, CD4 & CD56. Based on clinical findings, histopathology report and immunohistochemical analysis, the patient diagnosed with SPTCL. Hence, any suspicious maxillofacial swelling without obvious sign of infection and trauma shall be investigated until a final diagnosis is reached. [ABSTRACT FROM AUTHOR]

Reticulohistiocytoma is a localized form of reticulohistiocytosis without systemic involvement. This is a histiocytic reactive lesion which can arise on the skin or mucosa. A 60-year-old female presented with an ill-defined solitary reddish brown, firm, nontender nodule of size 1.5 × 1.5 cm, lateral to right nasolabial fold for 1 year. Histopathological examination showed irregular acanthosis in the epidermis and the dermis revealed collection of histiocytes in clusters, some of which showed eosinophilic cytoplasm which was suggestive of a benign histiocytic lesion. Immunohistochemistry showed scattered cell positivity for CD68 and S100. A final diagnosis of solitary adult onset reticulohistiocytoma was made and an elliptical excision was done. There is a need for clinicopathological correlation along with immunohistochemistry to diagnose this entity and differentiate from other mimickers. Reported cases of facial reticulohistiocytoma, of which two were reported from India, have been reviewed for a better understanding of this entity. [ABSTRACT FROM AUTHOR]

The article titled "Adverse Events Associated with Hyaluronic Acid Filler Injection for Non-surgical Facial Aesthetics: A Systematic Review of High Level of Evidence Studies" by Kyriazidis et al.in Aesthetic Plastic Surgery presents a systematic review focused on categorizing complications linked to hyaluronic acid (HA) dermal fillers. However, concerns arise about the methodologies employed in the reviewed studies. Precise knowledge of the active substance's properties is vital for treatment standardization. Gaining a comprehensive understanding of the key characteristics of the employed HA is of paramount importance to ascertain whether an association exists between these properties and the risk of complications. Understanding the rheological properties of HA, including viscosity, elasticity, and cohesiveness, is crucial for optimal facial filler selection. Acknowledging the authors' contributions, further analysis should encompass these factors. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. [ABSTRACT FROM AUTHOR]

Purpose: To perform a systematic review of literature specific to single-fraction stereotactic radiosurgery (SRS) for large vestibular schwannomas (VS), maximum diameter ≥ 2.5 cm and/or classified as Koos Grade IV, and to present consensus recommendations on behalf of the International Stereotactic Radiosurgery Society (ISRS). Methods: The Medline and Embase databases were used to apply the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. We considered eligible prospective and retrospective studies, written in the English language, reporting treatment outcomes for large VS; SRS for large post-operative tumors were analyzed in aggregate and separately. Results: 19 of the 229 studies initially identified met the final inclusion criteria. Overall crude rate of tumor control was 89% (93.7% with no prior surgery vs 87.7% with prior surgery). Rates of salvage microsurgical resection, need for shunt, and additional SRS in all series versus those with no prior surgery were 9.6% vs 3.3%, 4.7% vs 6.4% and 1% vs 0.9%, respectively. Rates of facial palsy and hearing preservation in all series versus those with no prior surgery were 1.3% vs 3.4% and 34.2% vs 40.4%, respectively. Conclusions: Upfront SRS resulted in high rates of tumor control with acceptable rates of facial palsy and hearing preservation as compared to the results in those series including patients with prior surgery (level C evidence). Therefore, although large VS are considered classic indication for microsurgical resection, upfront SRS can be considered in selected patients and we recommend a prescribed marginal dose from 11 to 13 Gy (level C evidence). [ABSTRACT FROM AUTHOR]

Background: The purpose of this study was to evaluate the pattern of predicted interosseous interference and to determine the influencing factor to volume of bony interference using a computer-assisted simulation system. This retrospective study recruited 116 patients with mandibular prognathism who had undergone sagittal split ramus osteotomy (SSRO) with or without maxillary osteotomy. The patients were divided into 3 groups according to the amount of menton (Me) deviation: less than 2 mm (Group 1), 2–4 mm (Group 2), and more than 4 mm (Group 3). Changes in the distal segments following BSSRO and the volume of the interosseous interference between the proximal and distal segments were simulated after matching preoperative occlusion and postoperative expected occlusion with the cone-beam computed tomography data. Ramal inclinations and other skeletal measurements were analyzed before surgery, immediately after surgery, and at least 6 months after surgery. Results: The anticipated interosseous interference was more frequently noted on the contralateral side of chin deviation (long side) than the deviated site (short side) in Groups 2 and 3. More interference volume was predicted at the long side (186 ± 343.9 mm3) rather than the short side (54.4 ± 124.4 mm3) in Group 3 (p = 0.033). The bilateral difference in the volume of the interosseous interference of the osteotomized mandible was significantly correlated with the Me deviation (r = − 0.257, p = 0.009) and bilateral ramal inclination (r = 0.361, p < 0.001). The predictor variable that affected the volume of the osseous interference at each side was the amount of Me deviation (p = 0.010). Conclusion: By using the 3D simulation system, the potential site of bony collision could be visualized and successfully reduced intraoperatively. Since the osseous interference can be existed on any side, unilaterally or bilaterally, 3D surgical simulation is necessary before surgery to predict the osseous interference and improve the ramal inclination. [ABSTRACT FROM AUTHOR]

Dyspigmentation is a common cosmetic concern in dermatology. Currently, the first line topical medication in the United States is hydroquinone. Hydroquinone use is associated with potential safety concerns including cytotoxicity to melanocytes, systemic absorption, metabolism in distant organs, and production of potentially carcinogenic metabolites. Hexylresorcinol is an ingredient that has been used in food preservation and as antiseptic has been shown to inhibit tyrosinase in vitro and has been studied as a novel skin-lightening agent. To perform a double-blind randomized split-body investigation of comparison on topical hexylresorcinol and hydroquinone on face and hands to assess for change in the appearance of skin tone and pigmentation. Thirty-two healthy female participants ages 35–65 (50.93 ± 7.37) years old with skin type I–IV were randomized to using either topical 1% hexylresorcinol or 2% hydroquinone on the left or right side of the face and corresponding hand over 12 weeks. The topical preparation was applied twice a day to assigned areas. Standardized photos were taken of the face and colorimetric measurements were taken of both sides of the forehead, cheeks and each hand at baseline (Day 0), week 4, and week 12. Of the 32 participants, 3 were lost to follow-up and the remaining were included in the final analysis. Pigmentation measured by colorimeter and clinical grading were significantly decreased at 4 and 12 weeks relative to baseline with no difference between the HR and HQ groups. No adverse effects were noted with either intervention. Hexylresorcinol 1% is well-tolerated and equivalent to hydroquinone 2% in reducing the appearance of facial and hand pigment. Further studies with an expanded population and longer time course are warranted. Registration No.: NCT04345094. [ABSTRACT FROM AUTHOR]

The trans‐mer‐[(κ2‐N,S‐NS2C7H4)PR3Ru{κ3‐H,S,S′‐H2B (NS2C7H4)2}], (trans‐mer‐1 a: R=Cy; trans‐mer‐1 b: R=Ph) complexes are kinetically controlled products that upon thermolysis led to the formation of cis‐mer‐[(κ2‐N,S‐NS2C7H4)PR3Ru{κ3‐H,S,S′‐H2B(NS2C7H4)2}], (cis‐mer‐2 a: R=Cy; cis‐mer‐2 b: R=Ph) and cis‐fac‐[(κ2‐N,S‐NS2C7H4)PR3Ru{κ3‐H,S,S′‐H2B(NS2C7H4)2}], (cis‐fac‐3 a: R=Cy; cis‐fac‐3 b: R=Ph) along with complex cis‐[(κ2‐N,S‐NS2C7H4)2Ru(PPh3)2], (cis‐4). One of the main intentions of this study was to examine the flexibility of the borate and hemilabile N,S‐chelating mercapto‐benzothiazole ligands in adapting different spatial arrangements around metal center. Multinuclear spectroscopic analyses have been done to characterize all new complexes and the structures were further confirmed by single‐crystal X‐ray diffraction analysis. Further, Density Functional Theory (DFT) calculations were performed to provide an insight into the bonding of the complexes. [ABSTRACT FROM AUTHOR]

Background: Cosmetic operations are becoming increasingly popular. Cosmetic operations are a fad in today's world; yet, some patients are compelled to have cosmetic procedures because of their employment. Many additional causes, such as economic progress and greater affordability, expanding middle class with high disposable incomes, revolution in the mass media and more awareness about cosmetic treatments, and the rise in medical tourism all contribute to this upward trend. Methods: Data were collected, coded, and entered into the SPSS v20 software for descriptive statistics (mean standard deviation, frequencies, and percentages were computed) and to determine the significant differences among the variables. At a 5% level of significance, the t-test and chi-square test were performed. An electronic version of the questionnaire was used to collect data. King Khalid University in Saudi Arabia provided ethical approval. The ethical permission was obtained from the respondents. The study duration was from December 2020 to March 2021. Results: 36% believed that Botox injection means proteins while 42.8% have no idea. 82.9 opted that cosmetic procedures have price matters. Fat injection means Fat cell 55.9% agreed with this, Filler injection means Hyaluronic acid 42.2% agreed with this. 62.4% had knowledge about cosmetics side effects. Regarding doctor selection search and consultation is the major factor (51.1%) while 38.8% selected doctor as per doctor reputation. Personal desire (50.1%) is the biggest motivation towards cosmetic surgery. 46.6% have future planned for cosmetic surgery while 29. % previously done it. Conclusion: To properly manage these patients and spare them the financial, physical, and psychological toll of unneeded treatments, cosmetic treatment providers should strive to become more conversant with clinical guidelines and diagnostic criteria. [ABSTRACT FROM AUTHOR]

The primary aim of the current study was to evaluate discomfort levels of facial NMES in healthy volunteers. Eight participants completed the Discomfort Level Scale (DLS) following each motor level facial neuromuscular electrical stimulation (NMES) session. Each participant completed 12 sessions of facial NMES for a total of 96 NMES treatments. Pearson product-moment correlation coefficient demonstrated a significant correlation between the facial NMES intensity level and DLS (p < 0.001). This study demonstrated that the DLS is a useful tool to check for discomfort levels in patients who receive facial NMES. Further, this study provides strong support for the tolerability of facial NMES. [ABSTRACT FROM AUTHOR]

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Background/aims: When facial trauma involves elderly patients, the possible presence of frailty and comorbidities in victims of trauma may worsen the posttraumatic symptoms and decrease quality of life. The aim of this multicenter study was to assess the quality of life following surgical or non-operative management of maxillofacial trauma in elderly patients. Materials and methods: This cohort study was based on the administration of validated self-administered questionnaires to all the geriatric patients (70 years or more) with facial fractures from the involved maxillofacial surgical units across Europe, since 1st January 2019 to 31st June 2019. The following questionnaires were administered: SF36 questionnaire; the VFQ-25 questionnaire; the Oral Health Impact Profile – 14 (OHIP14). Outcome variables were VFQ-25 and OHIP-14 results. Results: A total of 37 patients (14 male and 23 female patients) met the inclusion criteria and were included in the study. Elderly patients had an improvement in almost all the categories examined by the SF-36 questionnaire 6 months after trauma, with the only exception of a worsening as for role limitations due to physical health. An improvement was observed in almost all the categories at SF-36 test. A worsening of scores of OHIP-14 for all the considered dimensions in the whole study population was observed too. Conclusions: Elderly patients following facial trauma experience significant emotional, social, and functional disturbances. We observed that emotional problems, energy/fatigue, social functioning, and generally social limitations played a great role in the decrease of QoL in elderly patients following maxillofacial trauma. [ABSTRACT FROM AUTHOR]

The clinical appearance of acne vulgaris (AV) and the response to therapeutic agents may vary in people with skin of color (SoC) compared with those with lighter skin types. Given the heightened potential for postinflammatory hyperpigmentation and keloid development, effective and timely AV treatment in patients with SoC is especially important. However, these patients are frequently underrepresented in clinical trials, and SoC photographs are generally underrepresented in dermatology. Trifarotene 0.005% cream is a retinoid approved for the once-daily topical treatment of AV, and was studied in large-scale clinical trials that assessed the treatment of AV on both the face and trunk. For severe AV, a topical retinoid may be used in combination with an oral antibiotic, such as doxycycline. Five subjects covering Fitzpatrick skin phototypes III, IV, V, and VI were selected from two larger studies to visually demonstrate treatment of clinically diagnosed AV with trifarotene 0.005% cream. Two subjects received 24 weeks of treatment with trifarotene 0.005% cream for moderate AV on the face and trunk, while three subjects received 12 weeks of treatment with trifarotene 0.005% cream in association with 120 mg oral doxycycline with modified polymer coating for severe facial AV. This case series supports the favorable efficacy and safety of facial and truncal AV treatment with trifarotene 0.005% cream, with or without oral doxycycline, in subjects with SoC (phototypes III–VI). [ABSTRACT FROM AUTHOR]

Non-nociceptive, persistent idiopathic facial pain (PIFP) is a poorly localized, continuous dull pain that occurs even in the absence of apparent pathological lesions or clinical neurologic deficiency. This study aimed to investigate the disease characteristics of PIFP that developed after dental implant treatment. The clinical characteristics of pain as well as treatment method and outcomes were retrospectively analyzed in 20 patients diagnosed with PIFP. The patients developed pain either after implant fixation or prosthetic treatment. In most patients, the pain persisted not only around the implant region but also at a distant site from the related implant (13/20, 65%). Many patients desired removal of the implants to manage the pain although the pain was not considered to be related to the implant treatment. In 12 patients, the related implants were removed, but 67% (n = 8/12) of the patients still experienced chronic pain after implant removal. Medication helped decrease the pain in most patients (n = 17). Pregabalin and clonazepam showed relatively higher efficiency than other medications for controlling the pain. The results showed that although the onset of PIFP was related to dental implant treatment, implant removal could not be considered a reliable option for the management of PIFP. Although medication controls the pain at least partially, complete pain control with medication should not be expected. These results demonstrate that an accurate diagnosis of PIFP is important for the selection of appropriate treatment. [ABSTRACT FROM AUTHOR]

Simple summary: Suture exostosis is a condition affecting the horse's head. The connections between the bone plates that form the horse's face have been shown to react to insult. Horses will then develop a swelling along the face that may be painful. Little is known about this condition and the present research project aimed to investigate horses presented to equine clinics with symptoms of the disorder. It was revealed that the condition can form following trauma, underlying sinus disease, following a surgery or without any apparent cause. Various treatment options to resolve the condition have been reported and the outcomes of those are described in the paper. Most consistently the proper diagnosis and identification and removal of potential bone sequestra are crucial for a timely resolution. Suture exostosis is an intriguing and not uncommon pathology that has to be included in the differential diagnosis for horses with swelling of the head. Although several singular case reports have been published, no large case series is available. The aim of this study is to report a multicentric retrospective collection of suture exostosis cases. Data concerning horses with suture exostosis in the facial region were collected retrospectively. Information regarding breed, age, gender, history, imaging findings, initiated treatment, response to treatment and follow up was recorded. One hundred and five cases of various breeds were reported. Analysis revealed the cases could be grouped into four entities: 45 developed following sino-nasal surgery, 23 following trauma, seven with underlying sinus pathology and 25 idiopathic. Treatment consisted of sequestra removal, plate fixation, antimicrobial and anti-inflammatory drugs or no treatment. Whereas initial localized pain fades within few days or weeks, resolution or reduction of the swelling was obtained in most cases after 3 months to 1.5 years. The etiopathogenesis of suture exostosis seems to consist of different entities. Identification of an underlying cause, particularly the presence of a bone sequester and infection is important to speed up resolution and before concluding an idiopathic case. When performing sinusotomies, it is important to provide as little trauma as possible to the surgical site in order to prevent suture exostosis as a complication. [ABSTRACT FROM AUTHOR]

Background: Few cosmetic ingredients are shown to be able to safely remove or lighten facial dark spots once they have formed. OG has been reported to possess oxidation power and exhibit various biological activities such as antibacterial, antiviral, and wound healing promotion. Aims: This study aimed to clarify the effects of OG on human skin, especially on age spots on the face. Methods: OG formulations (80 and 800 ppm) were mixed with synthetic melanin in vitro for 4 weeks and then assessed for its ability to degrade the melanin. OG also investigated its effect on gene expression of keratinocyte differentiation markers in vitro to explore the cell maturation. In clinical study for the evaluation of effects of OG formulations on age spots on facial skin, 48 women were measured for the melanin content of them by a Mexameter at 4 and 8 weeks after daily twice application of OG formulations. Adverse events were monitored during the study. Results: Both OG formulations showed direct melanin degradation in a time‐dependent manner, with significant effects observed as early as 6 h. OG formulation at 800 ppm showed higher activity than OG formulation at 80 ppm, and the amount of melanin was decreased by about 40% on Day 14 of the mixing reaction. Differentiation marker studies using human keratinocytes showed that the gene expression of involucrin and serine palmitoyltransferase was upregulated by OG, which was almost equivalent concentration to OG formulation 80 ppm, suggesting that OGs can enhance turnover of the skin epidermis. In clinical study, OG formulations 80 and 800 ppm showed larger decreases in melanin contents at 8 weeks compared with those at 4 weeks and their mean values of △melanin index were −16.7 and −15.2, respectively. Statistically significant differences were detected against respective controls. Number of subjects with a decrease in melanin index from baseline to 4 or 8 weeks increased in both OG formulations 80 and 800 ppm, especially prominent at 8 weeks. There were no adverse events related to treatments of OG 80 and 800 ppm during the study. Conclusion: The result indicated that applications of OG formulations are safe and effective in lightening age spots on the facial skin. [ABSTRACT FROM AUTHOR]

Despite the general improvement of living conditions and the ways of building buildings, the sense of security in or around them is often not satisfactory for their users, resulting in the search and implementation of increasingly effective protection measures. The insecurity that modern people face every day, especially in urban centers regarding their home security, led computer science to the development of intelligent systems, aiming to mitigate the risks and ultimately lead to the consolidation of the feeling of security. In order to establish security, smart applications were created that turned a house into a Smart and Safe Home. We first present and analyze the deep learning method and emphasize its important contribution to the development of the process for machine learning, both in terms of the development of methods for safety at home, but also in terms of its contribution to other sciences and especially medicine where the results are spectacular. We then analyze in detail the back propagation algorithm in neural networks in both linear and non-linear networks as well as the X-OR problem simulation. Machine learning has a direct and effective application with impressive results in the recognition of human activity and especially in face recognition, which is the most basic condition for choosing the most appropriate method in order to design a smart home. Due to the large amount of data and the large computing capabilities that a system must have in order to meet the needs of a safe, smart home, technologies such as fog and cloud computing are used for both face recognition and recognition of human silhouettes and figures. These smart applications compose the systems that are created mainly through "Deep Learning" methods based on machine learning techniques. Based on the study we have done and present in this work, we believe that with the use of DL technology, the creation of a completely safe house has been achieved to a large extent today, covering an urgent need these days due to the increase in crime. [ABSTRACT FROM AUTHOR]

As a subtype of neurofibromatosis, the plexiform neurofibroma is a benign, autosomally inherited disorder and predisposed to tumour formation. However, life-threatening haemorrhage into facial plexiform neurofibroma is extremely rare. In the current study, we showed a facial plexiform neurofibroma case with massive haemorrhage in the cranio-maxillofacial region. An emergent selective angiography of the external carotid artery was performed to identify the offending artery, which was then selectively occluded by the combination of detachable coils and Onyx-34. Thus, the minimally invasive drainage surgery was successfully performed to evacuate the haematoma. We believe the endovascular embolization achieved its purpose by providing an initial salvage strategy for stopping active haemorrhage in plexiform neurofibroma, allowing surgeons to perform open surgery with lower complications rate. [ABSTRACT FROM AUTHOR]

Rhinoplasty is one of the most requested aesthetic procedures performed by plastic surgeons world-wide and nonsurgical rhinoplasty is becoming the gold standard in aesthetic nasal treatment. Follow-up clinical examinations were performed on all 107 patients, being a safe and predictable technique with a high degree of satisfaction for the patients. Nonsurgical rhinoplasty using hyaluronic acid is an effective, fast, and safe nasal reshaping procedure with a high degree of patient satisfaction. Generally, due to the gradual reabsorption of the filler, the results last up to 8 to 12 months after treatment, making it a valid minimally invasive alternative to surgical rhinoplasty. Consequently, to maintain the effects it is necessary to repeat the treatment once a year. [ABSTRACT FROM AUTHOR]

Perceived trustworthiness based on facial appearance plays an important role in interpersonal trust and cooperative behavior. Interpersonal trust behaviors involve both trustors and trustees. However, there is no clear conclusion on how the age of the two individuals affects interpersonal trust behaviors. Therefore, this study used the trust game task to explore the differences in trust behaviors between two different age groups in response to faces of different ages and analyzed whether such differences were apparent in the face processing stage. The behavioral results showed that only younger adults invested more money with older partners than younger ones; that is, younger adults trusted older faces more. The event-related potential (ERP) analyses showed that in the early stage of face processing, younger faces elicited more negative N170 than older faces; at the same time, older faces elicited more positive VPP than younger faces, and younger adults had more positive VPP than older adults. In the middle and late stages of face processing, younger faces elicited more negative FRN than older faces in younger adults but not in older adults. In addition, older faces elicited more positive LPP than younger faces in older adults but not in younger adults. The neural analyses suggested that age-related differences in facial trustworthiness judgments might occur in the later stages of face processing. Combining the behavioral and neural results, we found a dissociation between trustworthiness perceptions and trust behaviors in both younger and older adults, which may provide insight into how to prevent older adults from being deceived. [ABSTRACT FROM AUTHOR]

Background: Severe, cancer-related facial oedema can impair vision. It can result from lymphatic and/or venous obstruction due to disease and/or treatment related fibrosis. There is very limited data on the use of directly applied hypertonic packs for the relief of periorbital oedema. Case: A 63 year old man with recurrent laryngeal squamous cell carcinoma developed functional blindness secondary to periorbital oedema in the setting of severe facial swelling. This was refractory to maximal facial lymphatic massage available in the community setting. Possible courses of action: Management dilemmas included what non-medical interventions may relieve his periorbital oedema and thereby restore his vision outside of daily lymphatic massage from a qualified physiotherapist. Formulation of management plan: The patient agreed to an initial dry hypertonic pack with a great functional improvement of his vision. He was taught how to do this so that he could repeat ad libitum. Outcome: The patient had previously expressed that his most distressing thought was the prospect of becoming functionally blind prior to dying. The provision of an easy additional therapy to relieve his visual obstruction provided him with much comfort. He passed away peacefully a few weeks later. Lessons: The case demonstrates that application of a dry hypertonic pack can relieve periorbital oedema in the setting of facial oedema in cases which are refractory to the combination of self-massage, cold-compress application, and daily lymphatic massage by a certified physiotherapist. Research avenues: A case series to define incidence of adverse effects and duration of treatment effectiveness. [ABSTRACT FROM AUTHOR]

Background: Validated, objective clinical scales are needed to assess aesthetic improvement of the lips after augmentation with dermal fillers. Objective: To develop a lip fullness rating scale and establish its reliability for grading subjects in clinical trials or routine practice, and sensitivity for detecting clinically meaningful changes. Methods: The Teoxane Lip Fullness Scale (TLFS), a proprietary, 5‐grade photonumeric scale, was developed by clinical experts based on real subject photographs and was validated through both photographic and live subjects' evaluation. Results: Clinician intra‐ and inter‐rater agreement for the TLFS was substantial to almost perfect. Mean intra‐rater weighted Kappa score between the two rounds of photographic validation was 0.92, and inter‐rater agreement was substantial with an ICC of 0.93 for the combined rounds. Average intra‐rater weighted Kappa score and inter‐rater ICC for the live validation were equally high, reaching 0.91 and 0.89 respectively. Additionally, evaluators identified clinically significant differences between photographs of subjects presenting a 1‐grade or 2‐grade difference on the scale in 90% and 98% of cases, respectively. Conclusions: The intra‐rater Kappa scores and inter‐rater ICC met their pre‐determined acceptance criteria of >0.70 in the photographic and live validation. The TLFS was shown to be a repeatable and reproducible Clinician Reported Outcome (Clin‐RO) for healthcare providers to classify lip fullness both in clinical trials and in routine patient care. A 1‐grade difference on the TLFS can detect a clinically meaningful difference in lip fullness. [ABSTRACT FROM AUTHOR]

Nasolacrimal duct (NLD) damage is associated in the majority of type II and III naso-orbito-ethmoid (NOE) fractures.¹ Our study aims to investigate the efficacy and safety of prophylactic NLD intubation in the setting of facial fractures, by comparing incidence of postoperative epiphora and wound infection. A retrospective matched control study was conducted on all patients with surgically treated facial fractures from 2008 to 2013 (n=280) (IRB ref number: DSRB 2013/01198). Patients with the following fracture types were included: NOE (n= 16), frontal sinus (n= 2), Le Fort II/III (n= 8), and> 1 type (n= 48). All patients in this study were included with the intention to treat. The study group comprised patients who were intubated, while the control group patients were not intubated. Each group had 37 patients matched for age, gender, fracture type, and injury type. A single oculoplastic surgeon skilled in lacrimal surgery performed the procedure for all intubated patients. Patients with more severe and complex facial fractures were intubated with bicanalicular Crawford stents. Postoperative epiphora and infective complications (both facial wound and dacryocystitis) were assessed at 1, 3, 6, and 12 months. There was no significant difference in incidence of either postoperative epiphora (p= 0.152) or wound infection (p= 0.556) comparing both groups. Reduced incidence of postoperative epiphora in the study group is statistically not significant and does not support the need for prophylactic intubation. If radiographic evidence of NLD disruption or regurgitation seen on syringing on the NLD intraoperatively is present, intubation is safe and efficacious only if performed by an expert. [ABSTRACT FROM AUTHOR]

Background: Postoperative facial scarring can be a significant psychological burden for patients to carry after surgery, often resulting in prolonged mental health dysfunction. Currently, there is no established method to prevent facial scar formation; however, there are several methods to prevent facial scar hyperplasia and improve scar quality. Botulinum toxin A (BTA) has been widely used due to its properties of muscle paralysis and known success in plastic surgery and cosmetology. This meta-analysis aimed to evaluate the efficacy of BTA in preventing postoperative facial scar hyperplasia and improving scar quality. Methods: PubMed, MEDLINE, EMBASE, web of science, and Cochrane libraries were searched for randomized controlled trials (RCTs) (published before May 2021) wherein BTA was used for the treatment of facial scars. The efficacy and safety of BTA were evaluated by the following scales: the Vancouver Scar Scale (VSS), Visual Analog Scale (VAS), Observer Scar Assessment Scale (OSAS), Patient Scar Assessment Scale (PSAS), and Stony Brook Scar Evaluation Scale (SBSES); the BTA effect on scar width and complications was also assessed. Results: Ten RCTs involving 114 cases were included. Through quantitative analysis, the BTA injection group had a higher VAS score, lower VSS score, lower OSAS score, and smaller scar width. However, no significant difference was noted in the incidence of postoperative complications between the two groups. Conclusions: This meta-analysis demonstrated that BTA can safely improve the appearance of postoperative facial scars by significantly inhibiting scar hyperplasia and improving scar quality. Level of Evidence III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. [ABSTRACT FROM AUTHOR]

Background: Botulinum toxin is used in the treatment of headache as well as cosmetic indications. In recent years, headache cases have been encountered after botulinum toxin injections for cosmetic purposes. However, no clinical studies have been conducted on this seemingly paradoxical issue. Objective: In our study, the aim was to evaluate the frequency of occurrence of headache and its clinical features in patients who had undergone botulinum toxin application for cosmetic purposes. Methods: A total of 186 patients who were treated with onabotulinum toxin A for cosmetic purposes in our clinic between January 2019 and January 2021 were retrospectively screened, and the clinical and demographic characteristics of the patients who reported headache complaints were examined. Results: Headache was reported in 19 (10.2%) of the 186 patients included in the study. Of the 19 patients who reported headaches, 17 (89.4%) had the onset of the complaint within the first 24 h, the complaint was resolved within the first 3 days in 16 (84.2%), and 12 (63.1%) reported spontaneous regression without the need for painkillers. The rate of development of headache complaints after the procedure was found to be statistically significantly higher in patients diagnosed with hypertension (p = 0.000) and patients treated for bunny line (p = 0.016). Ten patients (52.6%) described constant, 17 patients (89.5%) had diffuse, and 11 patients (57.9%) had throbbing‐type headaches. Conclusion: Botulinum toxin application causes diffuse, constant, throbbing‐type headaches that start in the early period and ends within a short time without the need for treatment. [ABSTRACT FROM AUTHOR]

Idiopathic intracranial hypertension is rare in the pediatric population. It's characterized by increased intracranial pressure in the absence of any evident underlying neurologic disease. The most frequent cranial nerve deficit associated with that condition is abducens nerve palsy. The association of sixth and seventh cranial nerve damage is uncommon. In this report, we describe the case of an 8-year-old girl who presented with headache, diplopia, and peripheral facial palsy related to idiopathic intracranial hypertension. [ABSTRACT FROM AUTHOR]

This document is an editorial titled "Emerging trends in pediatric pain" published in the journal Frontiers in Pain Research. The author, Kenneth Craig, discusses the unique requirements for assessing and treating pain in infants, young children, and adolescents. The editorial emphasizes the importance of considering the developmental stage of the individual when providing treatment and highlights six papers that illustrate this necessity. These papers cover topics such as pain control at the end of life, sucrose administration for procedural pain in newborns, behavioral observation in older children, mitigating testimonial injustice through peer support, emotional responses to pain-related injustice appraisals, and the development of a pediatric transitional pain service. The author declares no conflicts of interest, and the claims expressed in the article are solely those of the authors. [Extracted from the article]

Copyright of Anales de Otorrinolaringología Mexicana is the property of Sociedad Mexicana de Otorrinolaringologia y Cirugia de Cabeza y Cuello and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Facial anthropometry is a part of cephalometry that involves the measurements of face. It is very helpful in reconstructive surgery, forensic medicine, orthodontics and to find ethnic differences by defining various shapes of face. Facial features of every individual are different even in siblings. These features vary according to gender, racial and biological group, ecological and geographical region. Anthropometry can also be used for estimation of stature, where it cannot be measured directly such as spinal or lower limb deformity or any other neuromuscular disorder. So, the present study attempted to find that is the facial parameters are reliable in estimation of stature in Haryanvi jaat population and also aims formulate regression equation for estimation of stature in the same. Methods: A sample of total 300 adult Haryanvi jaatsof age group 20 to 60 years was taken for the present study. Out of them 150 were females and 150 weremales. Anthropometric measurements of face and stature were taken on each subject. Conclusion: All the studied facial parameters showed positive significant correlation with stature (p<0.01) both in males and females So, it can be concluded that facial anthropometry is a reliable tool for stature estimation in Haryanvi population. [ABSTRACT FROM AUTHOR]

Facial dimples are profoundly valued because the face is exceptionally visible, and it is a significant outlet for communicating thoughts and feelings. This study was carried out to determine the prevalence and pattern of facial dimples among the Ndokwa people of Delta State in Nigeria. This study adopted an observational cross-sectional study design and was conducted at Obiaruku in Delta State and involved male and female Ndokwas of Delta State. 384 subjects were used and the cluster sampling technique was adopted. Ethical clearance/approval was gotten from the Ethical Committee of the Department of Human Anatomy and Cell Biology, Delta State University, Abraka in Nigeria and data was collected with the aid of a questionnaire. The questionnaire included the following: age, gender, presence of facial dimples, the pattern of facial dimples, presence of facial dimples among parents of the respondents, pattern of facial dimples among parents of the respondents, and perception towards facial dimples. Data obtained were subjected to Statistical Package for the Social Sciences (SPSS). Chi-square was used to compare the prevalence of facial dimples between the sexes and a p-value lesser than 0.05 was considered to be statistically significant. Most of the subjects in this study were females (n=196, 51%) while minorities were males (n=188, 49%) and aged 18-23years, followed by 24-29 years, 30-35 years, and 36-40years. The prevalence of facial dimple was 31.8% (n=122). Most of the facial dimples were located in the cheek, followed by the chin. This present study demonstrated a higher prevalence of facial dimples among females than males. Facial dimples can be inherited and the dominant gene is thus responsible for this inheritance pattern. [ABSTRACT FROM AUTHOR]

At the moment of soft tissue injury, an immediate wound healing ballet commences. This coordinated cascade of events works over minutes, hours, weeks, and months to restore tissue integrity and viability in an attempt to rebuild the site to its preinjured state. A thorough understanding of these processes, and options to navigate forks in the road, can help guide patient selection, surgical planning and execution, management of complications, and ultimately the restoration of tissue form and function for optimal outcomes. An exhaustive account of tissue healing mechanics is beyond the scope of this writing. However, a summation of much that is known of these processes and the directions research and therapeutic developments are currently aimed will help the facial plastic surgeon prevent or minimize debilitating functional and cosmetic consequences in the head and neck. [ABSTRACT FROM AUTHOR]

Copyright of Universitas Médica is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Keywords: complex; cutaneous leishmaniasis; facial; intralesional; meglumine antimoniate; ulcer EN complex cutaneous leishmaniasis facial intralesional meglumine antimoniate ulcer e548 e550 3 06/21/22 20220701 NES 220701 Report of a case A 35-year-old healthy Belgian Caucasian woman presented to her dermatologist with a painless, isolated non-healing ulceration on the right infra-orbital area that changed over two months from an erythematous papule to an ulceration of 1.5 cm (Figure 1). Diagnosis and treatment of leishmaniasis: Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). Species-directed therapy for leishmaniasis in returning travellers: a comprehensive guide. [Extracted from the article]

Background: Stature estimation in human identification has a significant forensic importance. The stature correlates positively with bones or human body parts. Measurements of various body parts such as the arm, leg, feet, and finger can be used to estimate stature. This study is done to correlate the stature of person with facial, nasal, and palatal height among Tamil Nadu population. Aim and Objective: The aim and objective was to determine an individual's stature using facial, nasal, and palatal height and to find out the most reliable parameter to determine the stature of the person. Materials and Methods: Anthropometer, Vernier caliper, and palatometer were used for the analysis. The initial pilot study included 20 individuals. The representative study included 100 individuals of age 21-25 years. (Group 1 - males, Group 2 - females). Values of the three parameters (nasal, facial, and palatal) are calculated and related to that of the person's stature. Results: The quantitative data collected from the subjects are studied using (Pearson correlation) statistical analysis. The quantitative data availed from nasal height were found to be more reliable compared to the other two data in stature prediction. Correlation between stature and nasal height shows a significant positive correlation among the female group (2) with (P-value = 0.57). Conclusion: This study may play a significant role in case of human identification immediately after mass disasters and certain criminal investigations. Further studies with larger samples may produce more reliable values. [ABSTRACT FROM AUTHOR]

Background: Stature estimation in human identification has a significant forensic importance. The stature correlates positively with bones or human body parts. Measurements of various body parts such as the arm, leg, feet, and finger can be used to estimate stature. This study is done to correlate the stature of person with facial, nasal, and palatal height among Tamil Nadu population. Aim and Objective: The aim and objective was to determine an individual's stature using facial, nasal, and palatal height and to find out the most reliable parameter to determine the stature of the person. Materials and Methods: Anthropometer, Vernier caliper, and palatometer were used for the analysis. The initial pilot study included 20 individuals. The representative study included 100 individuals of age 21–25 years. (Group 1 – males, Group 2 – females). Values of the three parameters (nasal, facial, and palatal) are calculated and related to that of the person's stature. Results: The quantitative data collected from the subjects are studied using (Pearson correlation) statistical analysis. The quantitative data availed from nasal height were found to be more reliable compared to the other two data in stature prediction. Correlation between stature and nasal height shows a significant positive correlation among the female group (2) with (P– value = 0.57). Conclusion: This study may play a significant role in case of human identification immediately after mass disasters and certain criminal investigations. Further studies with larger samples may produce more reliable values. [ABSTRACT FROM AUTHOR]

The present study reports data on the skull bone morphometry of barking and sambar deer. The skulls of adult barking deer (n = 6) and sambar deer (n = 6) of either sex (n = 3 males and n = 3 females) were collected from the Aizawl Zoological Park, Aizawl, Mizoram, India, with official permission from the Government of Mizoram. Anatomically, barking and sambar deer's skulls were elongated, pyramid‐like, dolichocephalic and consisted of thirty‐two cranial and facial bones. The cranial bones were eleven (three single and four paired), comprising of occipital, sphenoid, ethmoid, frontal, interparietal, parietal and temporal. The facial bones were twenty‐one (one single and ten were paired), consisting of the maxilla, premaxilla (incisive), palatine, pterygoid, nasal, lacrimal, zygomatic (malar), vomer, turbinates, mandible and hyoid. In the present study, altogether 41 different measurements were taken morphologically and 6 different indices were applied. The obtained morphometrical parameters were significantly (p <.01, p <.05) higher in males than females of both species. Species wise, all obtained parameters were higher in sambar deer than barking deer. The obtained 41 different skull parameters and 6 indices showed statistically significant differences (p <.01 and p <.05) between both sexes of barking and sambar deer; however, practically these differences were meagre. The present morphometrical study on the skull of both species can help the wildlife professionals and zoo veterinarians determine the sex of these animals and differentiate it from other domestic and wild small ruminants for solving veterolegal cases. This study's findings will also motivate and assist other comparative studies with various domestic and wild small ruminants. [ABSTRACT FROM AUTHOR]

View Video S1Laryngoscope, 131:E423–E427, 2021 [ABSTRACT FROM AUTHOR]

Development of technology and gadgets are increasing day by day due to the remote access of information. In such a technology, the security and privacy of information is an important factor. Initially, the security for the gadgets or application are based on the pattern or password protection. But both these schemes can be hacked by applying combination of dots or numbers. Hence, to overcome this problem, the biometric mode of authentication is introduced. Initially, the fingerprint based biometric authentication is introduced. But, the fingerprint can also be hacked using the prints taken from other sources. To overcome this problem, facial recognition is introduced. The facial recognition is the prominent solution in biometric authentication. But, it can be applied in higher end devices only. A secure and simplest way of biometric authentication is proposed in this paper based on finger-vein lock system. This paper is focusing on the development of a low cost finger-vein lock system based on deep learning. It is an instrument that captures the human finger-vein image and is used for biometric security purposes such as authentication, verification and identification. [ABSTRACT FROM AUTHOR]

Introduction: The COVID-19 pandemic has been an unprecedented threat to our health care system. Clinicians had to pivot and develop creative and timely "virtual" solutions to provide clinical care. Our aim was to develop a standardized approach to virtual "mask fitting" for children who are either being initiated or are already on existing long-term ventilation (LTV) at a pediatric hospital. Case and outcomes: We present three cases involving the care of children who required mask fitting for noninvasive ventilation (NIV). LTV team consultations were delivered via videoconference or phone. With the guidance of the respiratory therapist (RT), the family caregiver (FC) took measurements on their child using a standardized clinical approach (developed by the LTV RTs). Based on the measurements, an appropriate mask was selected. Successful mask fit was based on patient/FC reports, as well as objective leak data obtained from the NIV download data. Discussion: Virtual clinics used for managing patients in our LTV program were feasible and efficient resulting in improved workflow for the RTs and convenience for patients and FCs. Patients and FCs had significantly less pressure to attend in-person clinics and expressed high satisfaction in terms of their experience and importantly, meeting respiratory care needs. Within the context of COVID-19, remote patient education and intervention can be delivered effectively, while reducing the risk of exposure from in-person visits to hospital. Conclusion: A virtual/telemedicine program to manage pediatric patients requiring mask fitting for LTV was a feasible option during COVID-19. [ABSTRACT FROM AUTHOR]

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